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Organization
ALPHA & OMEGA MC LLC
Active
Organization
ALPHA & OMEGA MC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARINA E HERNANDEZ (MANAGING MEMBER)
(313) 772-0406
Entity
Organization
Contact information
Practice address
28807 8 MILE RD, SUITE 102, LIVONIA, MI 48152-2078
(313) 772-0406
Mailing address
28807 8 MILE RD, SUITE 102, LIVONIA, MI 48152-2078
(313) 772-0406
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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